A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN)
Which assignment, if delegated by the nurse, would be inappropriate?
a. Measurement of a patient's urine output by UAP
b. Administration of oral medications by LPN/LVN
c. Check for the presence of bowel sounds and flatulence by UAP
d. Care of a patient with diabetes by RN who usually works on the pediatric unit
ANS: C
Assessment requires RN education and scope of practice and cannot be delegated to an LPN/LVN or UAP. The other assignments made by the RN are appropriate.
You might also like to view...
When reading a report of a phenomenologic study, the nurse finds direct quotes from the participants threaded throughout the narrative. What is the significance of this observation?
a. The researcher is supporting the study's findings. b. The researcher is attempting to make the report more personal. c. The technique violates the protection of human subjects. d. The technique ensures that the proper level of data saturation has been reached.
The nurse making home visits to a number of adult women with disabilities monitors the clients closely out of awareness of which of the following?
1. Healthcare services for women who are disabled are more than adequate. 2. They receive more preventive care than do women without disabilities. 3. These women seldom have sexual relations. 4. They receive less preventive care and have greater yearly health expenditures than do women without disabilities.
The nurse is conducting an interview with a new client. Which actions indicate that the nurse is implementing effective communication guidelines?
1. Looking directly at the client to ensure good eye contact 2. Managing the conversation to avoid periods of silence 3. Providing personal experiences to help the client focus 4. Sitting in a chair next to the client who is in bed 5. Keeping arms unfolded and in a relaxed position
A nurse is caring for a client who has been administered penicillin. The nurse observes
that the client is exhibiting difficulty in breathing and is developing syncopal episodes. On examining the client's vital signs, the nurse notes rapid pulse and palpitations. What may this indicate? A) Medication toxicity B) Paradoxical effect C) Therapeutic effect D) Anaphylactic reaction